Evidence map›Paper›PMID 29792227›Full record

ArticleGenome medicine2018

Integrated time course omics analysis distinguishes immediate therapeutic response from acquired resistance.

Genevieve Stein-O'Brien, Luciane T Kagohara, Sijia Li, Manjusha Thakar, Ruchira Ranaweera, Hiroyuki Ozawa, Haixia Cheng, Michael Considine, Sandra Schmitz, Alexander V Favorov and 6 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. [Research progress on the mechanisms of resistance to cetuximab targeted therapy in head and neck squamous cell carcinoma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Review
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  6. A novel intronic circular RNA circFGFR1Journal of translational medicine · 2023
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  7. Making In Vitro Tumor Models Whole Again.Advanced healthcare materials · 2023
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  14. The functional GRHL3-filaggrin axis maintains a tumor differentiation potential and influences drug sensitivity.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 3 countries.

Genevieve Stein-O'BrienInstitute of Genetic Medicine, Johns Hopkins University, Baltimore, MD, USA.
Luciane T KagoharaDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.
Sijia LiDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.
Manjusha ThakarDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.
Ruchira RanaweeraDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.
Hiroyuki OzawaDepartment of Otorhinolaryngology-Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Haixia ChengDepartment of Surgery - Otolaryngology-Head and Neck Surgery, University of Utah, |Salt Lake City, UT, USA.
Michael ConsidineDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.
Sandra SchmitzHead and Neck Surgery Unit, St Luc University Hospital, Brussels, Belgium.
Alexander V FavorovDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.
Ludmila V DanilovaDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA.
Joseph A CalifanoDepartment of Surgery, UC San Diego Moores Cancer Center, La Jolla, CA, USA.
Evgeny IzumchenkoDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, USA.
Daria A GaykalovaDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, USA.
Christine H ChungDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA. Christine.Chung@moffitt.org.
Elana J FertigDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, USA. ejfertig@jhmi.edu.
Sidney Kimmel Comprehensive Cancer Center · USJohns Hopkins University · USMoffitt Cancer Center · USKeio University · JPMoores Cancer CenterUniversity of Utah · USVavilov Institute of General Genetics · RU

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
TUMOR SUPPRESOR GENE PROMOTER HYPERMETHYLATION FOR DETECTION OF HEAD AND NECKP50DE019032 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI SIDRANSKY, DAVID · 2007 to 2016
$27.1M
Molecular signatures of HNSCC in response to targeted therapiesR01DE017982 · NIDCR · VANDERBILT UNIVERSITY · PI CHUNG, CHRISTINE H · 2007 to 2011
$1.9M
Dynamical Models of Cetuximab Resistance in HNSCC Based on Serial Genomics DataR01CA177669 · NCI · JOHNS HOPKINS UNIVERSITY · PI FERTIG, ELANA · 2014 to 2019
$1.8M
Characterizing genome-wide alternative splicing in HPV related HNSCCR21DE025398 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI GAYKALOVA, DARIA A · 2015 to 2016
$446k
PROFESSIONAL ONCOLOGY EDUCATION PROGRAMR25CA017982 · NCI · SUNY DOWNSTATE MEDICAL CENTER · PI ROSENTHAL, CONSTANTIN J · 1985 to 1987
–
NCI NIH HHS P30 CA006973NCI NIH HHS P30CA006973NCI NIH HHS P50DE019032NCI NIH HHS R01 CA177669NCI NIH HHS R01CA177669NCI NIH HHS R01DE017982NCI NIH HHS R21DE025398NIDCR NIH HHS P50 DE019032NIDCR NIH HHS R01 DE017982NIDCR NIH HHS R21 DE025398
6 · The paper itself

Abstract

backgroundTargeted therapies specifically act by blocking the activity of proteins that are encoded by genes critical for tumorigenesis. However, most cancers acquire resistance and long-term disease remission is rarely observed. Understanding the time course of molecular changes responsible for the development of acquired resistance could enable optimization of patients' treatment options. Clinically, acquired therapeutic resistance can only be studied at a single time point in resistant tumors.

methodsTo determine the dynamics of these molecular changes, we obtained high throughput omics data (RNA-sequencing and DNA methylation) weekly during the development of cetuximab resistance in a head and neck cancer in vitro model. The CoGAPS unsupervised algorithm was used to determine the dynamics of the molecular changes associated with resistance during the time course of resistance development.

resultsCoGAPS was used to quantify the evolving transcriptional and epigenetic changes. Applying a PatternMarker statistic to the results from CoGAPS enabled novel heatmap-based visualization of the dynamics in these time course omics data. We demonstrate that transcriptional changes result from immediate therapeutic response or resistance, whereas epigenetic alterations only occur with resistance. Integrated analysis demonstrates delayed onset of changes in DNA methylation relative to transcription, suggesting that resistance is stabilized epigenetically.

conclusionsGenes with epigenetic alterations associated with resistance that have concordant expression changes are hypothesized to stabilize the resistant phenotype. These genes include FGFR1, which was associated with EGFR inhibitors resistance previously. Thus, integrated omics analysis distinguishes the timing of molecular drivers of resistance. This understanding of the time course progression of molecular changes in acquired resistance is important for the development of alternative treatment strategies that would introduce appropriate selection of new drugs to treat cancer before the resistant phenotype develops.

Indexed as

GenomicsAlgorithmsCell Line, TumorCetuximabClone CellsDisease-Free SurvivalDNA MethylationDrug Resistance, NeoplasmEpigenesis, GeneticErbB ReceptorsGene Expression ProfilingGene Expression Regulation, NeoplasticHead and Neck NeoplasmsHumansNeoplasms, Squamous CellProtein Kinase InhibitorsCetuximabErbB ReceptorsFGFR1 protein, humanProtein Kinase InhibitorsReceptor, Fibroblast Growth Factor, Type 1Acquired resistanceData integrationEpigeneticsGenomicsPrecision medicineTime course analysis

Identifiers

PMID29792227
PMCPMC5966898
OpenAlexW2950322442

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.